Individual
BROGAN NICOLE KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4815 LIBERTY AVE, SUITE 222, PITTSBURGH, PA 15224-2156
(724) 747-5240
Mailing address
4515 LIBERTY AVENUE, SUITE 222, PITTSBURGH, PA 15224-2156
(412) 578-1152
(412) 330-5522
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA057072
PA
Other
Enumeration date
08/21/2014
Last updated
10/27/2014
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